11-year-old boy complains of wheezing and difficulty “getting enough air.” Notices it more when he is playing baseball and symptoms improve when exercise activity stops. He says that the symptoms are getting worse and the symptoms are even occurring at rest. Mother says the child is allergic to cat dander and his next-door neighbor in their apartment building recently began sheltering cats for the local humane society. Auscultation demonstrates wheezes on forced expiration throughout all lung fields. 

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:  Each bullet point should reflect a subject heading followed by subsequent content reflective of primary sources of reference as well as Standards of Care. 

• The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
• Any racial/ethnic variables that may impact physiological functioning.
• How these processes interact to affect the patient.

https://www-ncbi-nlm-nih-gov.ezp.waldenulibrary.org/pmc/articles/PMC4961993/

RUBRIC:

               Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following:

Explain both the cardiovascular and cardiopulmonary pathophysiologic processes of why the patient presents these symptoms.           Points:       Points Range:    28 (28%) – 30 (30%) The response accurately and thoroughly describes the patient symptoms.

The response includes accurate, clear, and detailed reasons, with explanation for both the cardiovascular and cardiopulmonary pathophysiologic processes supported by evidence and/or research, as appropriate, to support the explanation.    Feedback:           Points:       Points Range:    25 (25%) – 27 (27%) The response describes the patient symptoms.

The response includes accurate reasons, with explanation for both the cardiovascular and cardiopulmonary pathophysiologic processes supported by evidence and/or research, as appropriate, to support the explanation.    Feedback:           Points:       Points Range:    23 (23%) – 24 (24%) The response describes the patient symptoms in a manner that is vague or inaccurate.

The response includes reasons for the cardiovascular and/or cardiopulmonary pathophysiologic processes, with explanations that are vague or based on inappropriate evidence/research.    Feedback:           Points:       Points Range:    0 (0%) – 22 (22%) The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing.

The response does not include reasons for either the cardiovascular or cardiopulmonary pathophysiologic processes, or the explanations are vague or based on inappropriate or no evidence/research.    Feedback:     Explain how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.           Points:       Points Range:    28 (28%) – 30 (30%) The response includes an accurate, complete, detailed, and specific explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.    Feedback:           Points:       Points Range:    25 (25%) – 27 (27%) The response includes an accurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.    Feedback:           Points:       Points Range:    23 (23%) – 24 (24%) The response includes a vague or inaccurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.    Feedback:           Points:       Points Range:    0 (0%) – 22 (22%) The response includes a vague or inaccurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.    Feedback:     Explain any racial/ethnic variables that may impact physiological functioning.           Points:       Points Range:    23 (23%) – 25 (25%) The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning supported by evidence and/or research, as appropriate, to support the explanation.    Feedback:           Points:       Points Range:    20 (20%) – 22 (22%) The response includes an accurate explanation of racial/ethnic variables that may impact physiological functioning supported by evidence and/or research, as appropriate, to support the explanation.    Feedback:           Points:       Points Range:    18 (18%) – 19 (19%) The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, and/or explanations based on inappropriate evidence/research.    Feedback:           Points:       Points Range:    0 (0%) – 17 (17%) The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, or the explanations are based on inappropriate or no evidence/research.    Feedback:     Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.           Points:       Points Range:    5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.    Feedback:           Points:       Points Range:    4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.     

Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.    Feedback:           Points:       Points Range:    3 (3%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.      

Purpose, introduction, and conclusion of the assignment are vague or off topic.    Feedback:           Points:       Points Range:    0 (0%) – 2 (2%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion were provided.    Feedback:     Written Expression and Formatting – English Writing Standards:
Correct grammar, mechanics, and proper punctuation           Points:       Points Range:    5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.    Feedback:           Points:       Points Range:    4 (4%) – 4 (4%) Contains a few (1 or 2) grammar, spelling, and punctuation errors.    Feedback:           Points:       Points Range:    3 (3%) – 3 (3%) Contains several (3 or 4) grammar, spelling, and punctuation errors.    Feedback:           Points:       Points Range:    0 (0%) – 2 (2%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.    Feedback:     Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.           Points:       Points Range:    5 (5%) – 5 (5%) Uses correct APA format with no errors.    Feedback:           Points:       Points Range:    4 (4%) – 4 (4%) Contains a few (1 or 2) APA format errors.    Feedback:           Points:       Points Range:    3 (3%) – 3 (3%) Contains several (3 or 4) APA format errors.    Feedback:           Points:       Points Range:    0 (0%) – 2 (2%) Contains many (≥ 5) APA format errors.    Feedback:   Show DescriptionsShow Feedback

Develop a 1- to 2-page case study analysis, examing the patient symptoms presented in the case study. Be sure to address the following:

Explain both the cardiovascular and cardiopulmonary pathophysiologic processes of why the patient presents these symptoms.–

Levels of Achievement:Excellent28 (28%) – 30 (30%)The response accurately and thoroughly describes the patient symptoms.

The response includes accurate, clear, and detailed reasons, with explanation for both the cardiovascular and cardiopulmonary pathophysiologic processes supported by evidence and/or research, as appropriate, to support the explanation.Good25 (25%) – 27 (27%)The response describes the patient symptoms.

The response includes accurate reasons, with explanation for both the cardiovascular and cardiopulmonary pathophysiologic processes supported by evidence and/or research, as appropriate, to support the explanation.Fair23 (23%) – 24 (24%)The response describes the patient symptoms in a manner that is vague or inaccurate.

The response includes reasons for the cardiovascular and/or cardiopulmonary pathophysiologic processes, with explanations that are vague or based on inappropriate evidence/research.Poor0 (0%) – 22 (22%)The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing.

The response does not include reasons for either the cardiovascular or cardiopulmonary pathophysiologic processes, or the explanations are vague or based on inappropriate or no evidence/research.Feedback:

Explain how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.–

Levels of Achievement:Excellent28 (28%) – 30 (30%)The response includes an accurate, complete, detailed, and specific explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.Good25 (25%) – 27 (27%)The response includes an accurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.Fair23 (23%) – 24 (24%)The response includes a vague or inaccurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.Poor0 (0%) – 22 (22%)The response includes a vague or inaccurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.Feedback:

Explain any racial/ethnic variables that may impact physiological functioning.–

Levels of Achievement:Excellent23 (23%) – 25 (25%)The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning supported by evidence and/or research, as appropriate, to support the explanation.Good20 (20%) – 22 (22%)The response includes an accurate explanation of racial/ethnic variables that may impact physiological functioning supported by evidence and/or research, as appropriate, to support the explanation.Fair18 (18%) – 19 (19%)The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, and/or explanations based on inappropriate evidence/research.Poor0 (0%) – 17 (17%)The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, or the explanations are based on inappropriate or no evidence/research.Feedback:

Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.–

Levels of Achievement:Excellent5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.Good4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.     

Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.Fair3 (3%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.      

Purpose, introduction, and conclusion of the assignment are vague or off topic.Poor0 (0%) – 2 (2%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion were provided.Feedback:

Written Expression and Formatting – English Writing Standards:
Correct grammar, mechanics, and proper punctuation–

Levels of Achievement:Excellent5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.Good4 (4%) – 4 (4%)Contains a few (1 or 2) grammar, spelling, and punctuation errors.Fair3 (3%) – 3 (3%)Contains several (3 or 4) grammar, spelling, and punctuation errors.Poor0 (0%) – 2 (2%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback:

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.–

Levels of Achievement:Excellent5 (5%) – 5 (5%)Uses correct APA format with no errors.Good4 (4%) – 4 (4%)Contains a few (1 or 2) APA format errors.Fair3 (3%) – 3 (3%)Contains several (3 or 4) APA format errors.Poor0 (0%) – 2 (2%)Contains many (≥ 5) APA format errors.Feedback: Total Points: 100

 

1) Minimum 7 full pages  (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 1 and 2 are the same question, however you must answer both questions with references and different writing always addressing them objectively, that is, as if you were two different people. Similar responses in wording or references will not be accepted.

             Part 1: Minimum 2 pages

             Part 2: minimum 2 pages

             Part 3: Minimum 1 page 

             Part 4: minimum 1 page

             Part 5: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.do

__________________________________________________________________________________

Parts 1 and 2 are the same question, however you must answer both questions with references and different writing always addressing them objectively, that is, as if you were two different people. Similar responses in wording or references will not be accepted.

Part 1: Pharmacology

Osteoporosis

J.S., a 72-year-old woman of Asian descent, has just transferred to your practice. She had a hysterectomy 8 years ago and has not been on hormone replacement therapy. She is 5 ft 2 inches tall and weighs 102 lb. She has had a sedentary lifestyle (she was a secretary and retired 2 years ago). She drinks four glasses of wine a day. Her mother died at age 62 from complications of a hip fracture. J.S.’s sister was just diagnosed with metastatic breast cancer. You prescribe a DEXA scan, and the T-score is −2.6 SD.

Diagnosis: Osteoporosis 

1. List specific goals of therapy for J.S.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What OTC or alternative medicines might be appropriate for this patient?

7. What dietary and lifestyle changes might you recommend?

8. Describe one or two drug–drug or drug–food interactions for the selected agent.

Part 2: Pharmacology

Osteoporosis

J.S., a 72-year-old woman of Asian descent, has just transferred to your practice. She had a hysterectomy 8 years ago and has not been on hormone replacement therapy. She is 5 ft 2 inches tall and weighs 102 lb. She has had a sedentary lifestyle (she was a secretary and retired 2 years ago). She drinks four glasses of wine a day. Her mother died at age 62 from complications of a hip fracture. J.S.’s sister was just diagnosed with metastatic breast cancer. You prescribe a DEXA scan, and the T-score is −2.6 SD.

Diagnosis: Osteoporosis 

1. List specific goals of therapy for J.S.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What OTC or alternative medicines might be appropriate for this patient?

7. What dietary and lifestyle changes might you recommend?

8. Describe one or two drug–drug or drug–food interactions for the selected agent.

Part 3: Pharmacology

 Vaginitis

R.S. is a 32-year-old woman who seeks treatment for a vaginal discharge that she has had for the past month. She is sexually active and has had the same partner for the past 6 months. She reports noticing an odor, especially after sexual intercourse. Her history reveals that she has been using a commercial douche on a biweekly basis during the past year for hygienic purposes in an attempt to prevent vaginal infections. She denies any other associated symptoms. The physical examination reveals a white vaginal discharge. Microscopic examination of the vaginal discharge shows clue cells, and the pH is 5.5.

Diagnosis: Bacterial Vaginosis 

1. List specific goals of treatment for this patient.

2. What drug therapy would you prescribe? Why?

3. Discuss specific patient education based on the prescribed therapy.

4. List one or two adverse reactions for the selected agent that would cause you to change therapy.

5. What OTC or alternative medications would be appropriate for this patient?

6.What dietary or lifestyle changes should be recommended?

Part 4: Nursing Leadership

One of the five elements of emotional intelligence is self-awareness. 

1. Explain why emotional intelligence is crucial for effective leadership. 

2. Discuss what behaviors someone with a high degree of self-awareness would demonstrate within the context of leading and managing groups. Provide an example.

Part 5: Nursing Leadership

1. Discuss the purpose of strategic planning in a health care environment. 

2. Explain what factors affect future planning in an organization and what tools can be used for future planning.